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North Carolina rates for HCPCS J0717

Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Facilitymedian $9 · 10th–90th $5–$11,2200%10%20%10th90th$9Professionalmedian $4 · 10th–90th $3–$120%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $12.02 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $6.31 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $6.17 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.27
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.47 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.61 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $6.03
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00